Individual
MRS. GAIL M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4 NORTH AVENUE, SUITE 306, BEL AIR, MD 21014-0000
(410) 420-7292
Mailing address
84 NEPTUNE DR, JOPPA, MD 21085-4539
(410) 538-3805
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC0643
MD
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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